From: Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report
Author [reference] | Age, years | GW | Time from ND to decompression | Symptoms | Level | Timing of decompression related to delivery | Surgical positioning | Outcome (recovery) |
---|---|---|---|---|---|---|---|---|
Mahieu et al. [1] | 26 | 30 | 3 hours |
Neck pain Brown-Séquard syndrome | C3–T1 | After CS | ? | Complete |
Singh et al. [2] | 25 | 31 | 30 hours |
Interscapular pain Quadriplegia | C3–C7 | Before VD | ? | Complete |
Yonekawa et al. [6] | 20 | 37 | 14 hours |
Neck pain Paraplegia | C4–C6 | Before VD | Sitting position | No recovery |
Wang et al. [13] | 29 | 40 | 6 hours |
Neck pain Quadriplegia | C5–C7 | After CS | Prone position | Mild (impaired sensation in fingers) |
Iwatsuki et al. [15] | 27 | 37 | Spontaneously resolved | Left shoulder pain | C4-T1 | Abstention | Not done | Spontaneous recovery |
Masski et al. [20] | 27 | 41 | 12 hours |
Neck and arm pain Quadriplegia | C7–T2 | After CS | Prone position | No recovery |
Binnert et al. [28] | 28 | 37 | 120 hours |
Interscapular pain Paraplegia | C7–T1 | After VD | Sitting position | No recovery |
Matsubara et al. [29] | 36 | 16 | 9 hours |
Interscapular pain Quadriplegia | C3–C7 | Before CS | ? | No recovery |
Tada et al. [30] |
26 21 |
31 39 |
30 hours 12 hours |
Paraparesis Quadriparesis |
C4–T2 C5–T2 |
After CS After CS |
Prone position Prone position |
Complete Complete |
Our patient | 35 | 21 | 28 hours |
Neck and interscapular pain Quadriplegia | C3–C6 | Before CS | Prone position | Mild |